DR. DOLLY ANN CAMPBELL (O.D) – Optometrist, NPI 1407821432
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
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Provider Addresses for DR. DOLLY ANN CAMPBELL (O.D)
1200, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629594437
Phone: (618) 993-5686
Fax: (618) 997-6250
Type: Mailing
1207, North One Mile Road, Dexter, Stoddard County, Missouri, 63841, United States
DEXTER, MO 638411041
Phone: (573) 624-4584
Fax: (573) 624-4585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051116000654 | I | Optometry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83861 | Microfluid analysis of tears | 184 | 71 | $0 |
| 92012 | Established patient problem focused exam of visual system | 174 | 126 | $0 |
| 92014 | Established patient complete exam of visual system | 163 | 142 | $0 |
| 92004 | New patient complete exam of visual system | 88 | 88 | $0 |
| 92134 | Imaging of retina | 78 | 65 | $0 |
Insurance plans in this area (ZIP 62959)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 226 | 182 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| Physician Assistant | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL |
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